Surgical debridement with muscle flap transposition and systemic teicoplanin therapy for infected hip arthroplasty

Author:

d'Ettorre Gabriella1,Marchetti Francesco2,Ceccarelli Giancarlo1,Gizzi Francesca1,Tierno Francesca1,Falcone Marco3,Venditti Mario3,Carlesimo Bruno2,Vullo Vincenzo1

Affiliation:

1. Department of Tropical and Infectious Diseases, University of Rome “Sapienza”, Rome - Italy

2. Department of Plastic Surgery, University of Rome “Sapienza”, Rome - Italy

3. Department of Clinical Medicine, University of Rome “Sapienza”, Rome - Italy

Abstract

The use of muscle flaps is now accepted as a method for coverage of infected wounds. To obtain complete eradication of infection following hip arthroplasty surgery is combined with antibiotic treatment. Aggressive debridment to remove devitalized tissue followed by vastus lateralis muscle flap transposition may improve the likelihood of success in certain challenging cases. We report two cases of prosthetic joint infection treated by aggressive debridment and vastus lateralis transposition with associated appropriate antibiotic therapy. Complete recovery of functional status was observed.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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